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NPI Code Detail

MEDICARE: CREEKWOOD SENIOR HOME

MEDICARE: CREEKWOOD SENIOR HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1366394892
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREEKWOOD SENIOR HOME
Provider Business Mailing Address
First Line : 830 TAMALPAIS AVE
Second Line :
City : NOVATO
State : CA
Zip : 94947-3012
Country : US
Telephone Number : 415-897-2661
Fax Number : 415-897-9641
Provider Business Practice Location Address
First Line : 830 TAMALPAIS AVE
Second Line :
City : NOVATO
State : CA
Zip : 94947-3012
Country : US
Telephone Number : 415-897-2661
Fax Number : 415-897-9641
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. RACHEL HYLTON
Credential : HYLTON
Telephone Number : 415-897-2661
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “CREEKWOOD SENIOR HOME ” Practice Location

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